Clone of Spring 2026 Continuing Education Course Registration Form

Summer 2026

Adult noncredit registration
Student Information
Name

First NameLast Name
Is this your first registration?
Campus ID (returning students only, new students will be assigned a campus ID after registering)
Date of Birth

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail Address
example@example.com
Cellphone Number
Format: (000) 000-0000.
Home Number
Format: (000) 000-0000.
Work Number
Format: (000) 000-0000.
Noncredit Seats in Credit Courses
Total tuition + $25 registration fee
Payment

Registration is not complete without payment in full. Payments can be made by check or by using the Credit Card Authorization Form linked below.
Ready to pay now?
1. Download the Credit Card Authorization Form
2. Complete and Save it to your computer
3. Upload to this Secure Upload Link
Checks (made payable to Purchase College) and Credit Card Authorization forms may also be submitted:

By Mail: Send Credit Card Authorization Form or Check to:

School of Continuing Education
Purchase College, SUNY
735 Anderson Hill Road
Purchase, NY 10577

In Person: Deliver Credit Card Authorization Form or Check to:

School of Continuing Education
Purchase College, SUNY
735 Anderson Hill Road, Music Building, Suite 0089
Purchase, NY 10577

Do not email completed credit card authorization forms.
I acknowledge my responsibilities as outlined above.
Signature
Date

MonthDayYear
Date
How did you hear about our us?
Describe other
Should be Empty:

Summer 2026

Student Information

Payment